Upper and lower GI bleeding causes and classic endoscopic and radiographic findings tested on USMLE Step 1.
38 cards · basic cards · AI-written, checked twice. Edit anything.
- What is the most common overall cause of upper GI bleeding?
Show answer
Peptic ulcer disease- Gastric ulcer pain classically does what after eating?
Show answer
Worsens with food- Duodenal ulcer pain classically does what after eating?
Show answer
Improves with food- A posterior duodenal ulcer that erodes deeply can bleed massively by damaging which artery?
Show answer
Gastroduodenal artery- An anterior duodenal ulcer is more likely to cause which complication rather than major bleeding?
Show answer
Perforation with free air (pneumoperitoneum)- Esophageal varices form as a complication of what underlying condition?
Show answer
Portal hypertension- A Mallory-Weiss tear is caused by what typical inciting event?
Show answer
Forceful vomiting or retching- Where does a Mallory-Weiss tear classically occur?
Show answer
Longitudinal mucosal tear at the gastroesophageal junction- How does Boerhaave syndrome differ from a Mallory-Weiss tear in depth of injury?
Show answer
Boerhaave syndrome is a full-thickness (transmural) esophageal rupture, not just a mucosal tear- A Dieulafoy lesion is caused by bleeding from what structure?
Show answer
A dilated, aberrant submucosal artery- Why can a Dieulafoy lesion cause massive bleeding despite having no ulcer?
Show answer
It exposes a large-caliber artery directly at the mucosal surface- Angiodysplasia causing GI bleeding is classically associated with which cardiac valve condition?
Show answer
Aortic stenosis (Heyde syndrome)- Chronic NSAID or alcohol use commonly causes what type of upper GI mucosal injury?
Show answer
Gastritis- Severe GERD can erode the esophageal mucosa, causing what condition?
Show answer
Erosive esophagitis- Hemobilia (bleeding into the biliary tree) classically presents with what clinical triad?
Show answer
GI bleeding, right upper quadrant pain, and jaundice
FlashKeepers